Individual provider Active NPI

Robert J Talamo, MD

  • Family Medicine Physician
  • Collegeville, PA
National Provider Identifier
1083722946
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD031591E Issued in PA
Practice address
100 Market St Ste 300
Collegeville, PA 19426
Phone
(484) 622-6400
NPI assigned
Aug 29, 2006
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD031591E PA Primary

Addresses

Primary practice location

100 Market St Ste 300
Collegeville, PA 19426

Mailing address

1330 Powell St Ste 310
Norristown, PA 19401-3350

Other practice location 1

555 Second Avenue
Suite D201
Collegeville, PA 19426
Phone (610) 831-2280 ext. 206

Other identifiers 1

IdentifierTypeStateIssuer
0105202003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000148 PA Practitioner - Family Practice 1355380627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Current Accepting new patients
Fornance Physician Services, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

100 Market St
Ste 300
Collegeville, PA 19426
Phone (484) 622-6400

1330 Powell St
Ste 310
Norristown, PA 19401
Phone (610) 277-2635

342 W Germantown Pike
Ste 310
Norristown, PA 19403
Phone (610) 270-2409

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1083722946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 POWELL ST STE 310",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKET ST STE 300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "19426",
            "telephone_number": "484-622-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Second Avenue",
            "address_2": "Suite D201",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "19426",
            "country_code": "US",
            "telephone_number": "610-831-2280 x206",
            "fax_number": "610-489-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAMO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD031591E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105202003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.